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Wsi Personel

Skilled Nursing Facility in Pueblo, CO. Organization (NPI-2).

NPI number1366881237
StatusActive
Last updated in NPPESJun 24, 2013

Details

NPI
1366881237
Entity type
Organization (NPI-2)
Legal business name
Wsi Personel
Organization subpart
No
Enumeration date
Jun 24, 2013
Last updated
Jun 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility215145COYes

Practice location

2610 Hollywood Dr
Pueblo, CO 81005-3313

Phone 719-821-6949

Mailing address

2610 Hollywood Dr
Pueblo, CO 81005-3313

Phone 719-821-6949

Authorized official

Carol Lynn Archuleta
Cota
7198216949

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